Buettner, R. and Friedrichs, N. (2019). Hereditary colon cancer in Lynch syndrome/HNPCC syndrome in Germany. Pathologe, 40 (6). S. 584 - 592. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-1963

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Abstract

Background. Hereditary nonpolyposis colorectal cancer (Lynch/HNPCC syndrome) is based on a germline mutation inducing increased occurrence of colorectal cancer and extracolonic carcinomas in young age. The German HNPCC consortium aims to increase awareness for detection of hereditary colon cancer among patients and physicians. Objectives. Reliable detection of HNPCC patients is based on a thorough documentation of patients'medical history and on further diagnostics delivered by human genetics and surgical pathology. This manuscript presents a standardized diagnostic concept. Methods. Relevant literature is reviewed and discussed and diagnostic parameters are outlined. In addition, operating figures of the German HNPCC consortium are presented. Results. The German HNPCC consortium is based on an efficient cooperation between clinical physicians, human geneticists, and surgical pathologists. After a funding period from the Deutsche Krebshilfe, HNPCC diagnostics and preventive medical examinations were transferred into standard care in Germany. In total, 5770 families (8873 patients) were included in HNPCC diagnostics. To date, in 1296 families, mutations of the MLH1-, MSH2-, MSH6-, PMS2-, or EPCAM-gene have been detected. Furthermore, 612 pathogenic variants and 325 variants of unknown significance were found. Conclusions. Reliable detection of HNPCC patients is based on a standardized diagnostic concept, which has been established within the German HNPCC consortium.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Buettner, R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Friedrichs, N.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-128703
DOI: 10.1007/s00292-019-0643-y
Journal or Publication Title: Pathologe
Volume: 40
Number: 6
Page Range: S. 584 - 592
Date: 2019
Publisher: SPRINGER HEIDELBERG
Place of Publication: HEIDELBERG
ISSN: 1432-1963
Language: German
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
DIAGNOSIS; ADENOMAS; MEDICINE; GENETICS; FAMILY; HNPCCMultiple languages
PathologyMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/12870

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